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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME. 5keA� 'LOB BRIDGE M Z� G" �b7 <br />INSPECTION DATE: �/Z3 BRIDGE TYPE. %x4cm, <br />INSPECTOR 1: �{r� INSPECTOR 2: ,TV/ HL <br />❑ POA Bridge <br />11. APPROACH ROADWAY ❑ N/A Type: AC <br />No Significant Defects Pavement Rutting @ <br />Cracks @ MA41 Novi Q� Sokfk Type: AW lur <br />Pavement Su i nce @ <br />Remarks: AQ4 A nr�4or C.4ac L4M a�Itoki 6 IV se&^f <br />J <br />12. APPROACH GUARD RAILING ❑ N/A Type: �{-at (�µ,M a% s}�f �-Stearn <br />HNo Significant Defects ❑ Missing "P" Markers @ <br />Damage @ Type: <br />Remarks: LcVA be(% f1h yvc11 <br />13. BRIDGE RAILING ❑ N/A Type: M�f+ll bm�► oh 4fe�i i�jo•.�^ <br />No Significant Defects ❑ Dry Rot @ <br />Damage @ Type: <br />Debris@ ❑ Graffiti@ <br />Remarks: L&A w, Q1o(Fy <br />14. S PERSTRUCTURE ❑ N/A Type: C.oN 4bt <br />[7No Significant Defects ❑ Drain Clogged: ❑ Debris ❑ Vegetation [X Other: Im"tI i/jl' <br />_Surface ❑ N/A Type: Coxvefe <br />No Significant Defects ❑ Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type: <br />Scaling @ U Light U Medium U Heavy <br />Spalling @ U Rebar Delamination @ <br />Remarks: �v,bitrir� „� r�fli N' •�rb,sieM o•• c�c�( <br />Soffit U N/A Type: L <br />No Significant Defects] Spalling @ <br />Cracks @ rType: wAk I,tftra( Ch,140 <br />Rebar Exposure @ Type: J <br />Timber Plank Decay @ U Moisture U Mold/Fungus <br />Section Loss @ Depth: <br />Remarks: �(�,�y „�,'rnr C"JulAq , rebar &&V*Jvi <br />J J' <br />Superstructure Other Than Deck N/A Type: <br />No Significant Defects ❑ Cracks @ Type: <br />Timber Stringer Decay @ Due to: ❑ Moisture ❑ Mold/Fungus <br />Section Loss @ Depth: <br />Spalling @ ❑ Damaged Strin er @ <br />Bearing Damage @ Due to: Moisture ❑ Mold/Fungus <br />Section Loss @ Depth: <br />Remarks: <br />s/is/zoi4 Page 1 <br />